I am losing sexual efficiency as I am aging. Please help.

Hi,

Welcome to icliniq.com.

I read your query and understood your concerns. Before we can make any conclusions, I request you to provide the following details. So, an impression can be made about the cause and solutions of the problem.

• What do you mean by slowly losing efficiency? Please give maximum details. How long the problem is there?

• How the problem started? What could be the factor according to you for onset of the problem?

• What is the frequency of the problem in the last one year? What is the number of sexual intercourse that failed in the last one month or a year?

• Do you have a similar problem in the past for one or more occasions? What are the factors that increase the problem? Do you think stress could be a factor?

• Do you get early morning erection? If yes, then how frequent and intense?

• Kindly share the details of past medical illnesses, like duration, any complications and treatment received till date.

• Do you take any substance of abuse? What are the investigations done till date and reports of most latest investigations such as serum testosterone, TSH, T3, T4 and any other?

• I must assure you that once we know the cause I can guide you better in regard to treatment.

Revert back with the answers to the above questions to a sexologist online.

Hi,

Welcome back to icliniq.com.

Although I was looking for a detailed reply, the information provided over here has enough clues regarding senility causing the problems.

• With the advancement of age the refractory period (time to achieve the second erection after intercourse) increases and that causes a sense of inadequacy. The sense of inadequacy further complicates the self-confidence, leading to problems with erection.

• In my view, rather than medicinal intervention the priority should be given for a better lifestyle. Being a retired Army Officer, I am sure you are leading an active lifestyle.

• I assume this because I have observed the best discipline in personal life among army personnels, but I think there is need to increase the time devoted for leisure activities.

• In case you have already modified your lifestyle in a positive direction, then I will request you to take the following tests from nearby laboratory and report the following details while posting follow up query.

• Your height and weight, blood pressure, latest thread report and the amount of dose of thyroid medication, serum testosterone, serum prolactin, renal profile, blood sugar, liver function tests, serum LH (luteinizing hormone), serum FSH (follicle stimulating hormone) and penile Doppler study.

Revert back with the reports to a sexologist online.